Authorizations and UR Criteria

Autism Spectrum Disorder (ASD) Services

BlueCross BlueShield of Western New York complies with the New York State Autism Mandate, Affordable Care Act, and Federal Parity provisions requiring health plans to provide specific coverage for Autism Spectrum Disorders (ASD), including Applied Behavior Analysis (ABA) and Assistive Communication Devices (ACD).

Not all benefit plans cover these services

Verification of benefits is necessary. To determine if ASD services are covered, call the provider service phone number on the back of your patient’s ID card.

Medicaid Managed Behavioral Health

Training

BlueCross BlueShield of Western New York is working with the NYS Health Plan Association to make available a variety of training programs through the Center for Practice Innovation at Columbia Psychiatry at the New York State Psychiatric Institute.